Pregnane X receptor (PXR) regulates P-glycoprotein at the blood-brain barrier: functional similarities between pig and human PXR

J Pharmacol Exp Ther. 2009 Apr;329(1):141-9. doi: 10.1124/jpet.108.149690. Epub 2009 Jan 15.

Abstract

Pharmacotherapy of central nervous system (CNS) disorders is impaired by the drug efflux transporter, P-glycoprotein, which limits drug penetration across the blood-brain barrier into the CNS. One strategy to increase brain drug levels is to modulate P-glycoprotein regulation. This approach requires understanding of the mechanisms that control transporter expression and function. One mechanism through which P-glycoprotein is regulated is the nuclear receptor, pregnane X receptor (PXR). Xenobiotics including drugs activate PXR and induce P-glycoprotein, which potentially affects pharmacokinetics/pharmacodynamics of coadministered drugs. Because rodent models are not suitable to predict xenobiotic interactions with human PXR, in a porcine model, we studied functional similarities between pig and human PXR. We used brain capillary endothelial cells from pig to study the effect of PXR activation on P-glycoprotein. To activate PXR, we used the PXR ligands, rifampicin, hyperforin, and pregnenolone-16alpha-carbonitrile (PCN), and measured abcb1 mRNA with quantitative polymerase chain reaction, P-glycoprotein expression with Western blotting, and P-glycoprotein transport activity with a calcein assay. We provide first proof of principle that the human PXR ligands, rifampicin and hyperforin, but not the rodent PXR ligand, PCN, activate pig PXR at the blood-brain barrier and induce mRNA, protein expression, and transport activity of P-glycoprotein. Our data indicate functional similarities between human and pig PXR that suggest the pig model could be useful for predicting xenobiotic-PXR interactions in humans. Because PXR is crucial in controlling drug efflux transporters, our findings will contribute to a better understanding of the regulation of blood-brain barrier function, which could potentially have important clinical implications for the treatment of CNS disorders.

Publication types

  • Comparative Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • ATP Binding Cassette Transporter, Subfamily B, Member 1 / genetics
  • ATP Binding Cassette Transporter, Subfamily B, Member 1 / metabolism
  • ATP Binding Cassette Transporter, Subfamily B, Member 1 / physiology*
  • Animals
  • Blood-Brain Barrier / physiology*
  • Blotting, Western
  • Bridged Bicyclo Compounds / pharmacology
  • Cell Separation
  • Cells, Cultured
  • Endothelial Cells / drug effects
  • Fluoresceins / metabolism
  • Humans
  • Immunohistochemistry
  • Myocytes, Smooth Muscle / drug effects
  • Myocytes, Smooth Muscle / metabolism
  • Phloroglucinol / analogs & derivatives
  • Phloroglucinol / pharmacology
  • Pregnane X Receptor
  • RNA, Messenger / biosynthesis
  • RNA, Messenger / genetics
  • Receptors, Steroid / drug effects
  • Receptors, Steroid / genetics
  • Receptors, Steroid / physiology*
  • Reverse Transcriptase Polymerase Chain Reaction
  • Rifampin / pharmacology
  • Swine
  • Terpenes / pharmacology
  • Up-Regulation / drug effects
  • Xenobiotics / pharmacology

Substances

  • ATP Binding Cassette Transporter, Subfamily B, Member 1
  • Bridged Bicyclo Compounds
  • Fluoresceins
  • Pregnane X Receptor
  • RNA, Messenger
  • Receptors, Steroid
  • Terpenes
  • Xenobiotics
  • Phloroglucinol
  • hyperforin
  • fluorexon
  • Rifampin